HomeMy WebLinkAbout1853 PALISADES DR; ; 83-249-64; Permit0 )r ~ vi£) I hereby affirm that I am licensed under o •~lalona of Chapter 9 (commencing with t; [ Section 7000) of Division 3 of the Business
c and Professions Code, and my license Is In
IC full force and effect. ~ LIC No -3.JS,-J.l)m ~ 0
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I hereby affirm that I am exempt lrom the Conlllc· tor·s Licon .. Law lor the lollowing reason (Sec. 7031.5 Business and Professions Code: Any city or county which re-qutres a pennit to construct, alter, impfM, demolish. or repair any structure, prior to its issuance also requires the ap-1)1,canl lor such permit lo file a Signed Slatemont lhat he is licensed pursuant to the prov,slons ot lhe Contractor" s Licen .. law (Chal)IM 9 COIMl8ftClng •1th SeclMIII 7000 ol
DMsion 3 of the Business and ProfessiOns Code) or lhal is ex· empt 1heretr0<n and lhe basis lor lhe alleged exemption Any
"""31lon of Section 7031.5 by an apo!Jcanl for a perm,1 sub-fet1s the 3Pl)llcanl lo a crvil penahy ol not fflOfe than five hun-
dred dollars (S500).
□ I. as owne, ol lhe prope,ty, or my employees wllh wages
as their sole c0<npensatlon, will do the '"°'k, and lhe struc· ture is not Intended or otter1d lor sale (Sec 704-4, Business
and Professions Code. The Contractor's Licen .. Law does not apply 10 an owne, oc property WIie builds ot Improves
thereon and who does such work himsett or through his own employees, pnMded that such improvements are not Intend-ed o, ottered for sale If, howevef, the building or Improve-ment Is sold within one year of completion, the owner·bu•lder win have the burden ol pr<Mng that he did not build or Im-prove for the purposo of sale).
-.fil I, as owner of the property, am exclusively contracting 4ith licensed contr>Clots to construct the prqect (Sec. 7044,
Business and Professions Code: The Contractor's License Law does not apply to an owner ol property who builds or Im-proves thereon, and who contr1tts for each prqetts with a contractor(s) license pursuant lo the Contractor's License Law).
□ As a -ner I am lmproYlng my home, and the follow·
Ing conditions exist: 1. The -k Is being pertonned prior lo sale.
2. I have lived In my home fo, twetve months
3. r:: c:~me: 1
11:1: =PIIOII during the list three years.
□ I am exempt under Sec. ______ , B & P.C.
for thts reason -------------
□ I hereby atftrm that I have a cert1hcate of consenl
lo self-,nsure. or a cert,hcate ot Wortc.ers Compensation Insurance, o, a certified copy thereof
(Sec 3800. Labo< Code)
POLICY NO .J'lCI _l_3_63_3C_
COMPANY Br~chafnitz
)CJ Copy IS hied with the city
□ Certified copy 1s nereby furn,sheC
CERTIFICATl OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed 11 t~ permit
ts to, one hundred dollars (S 100) o, less)
r,,( I cen,ty that ,n lhe per1'~e ot lhe w0f1t l0t
,a ·uch th1S pemut IS ISSued, I shall not employ any
person 1n any manner so as 10 become sut>1ec1 10
the Worke1s· COmpens.at,on Laws ot Calltom,a
NOTICE TO APPLICANT If. otter ma1un1 th1S Cen,
ticate ot Exemption. you Sh<>uki beeome sub,ect t"l
lhe Wor1t.ers· Compensat,on prov1s1ons ot the Labor Code. you must torthw,lh comply w11h such
prov1s1ons Of th,s perm11 shall be deemed revoked
O I hereoy afhrm INI lhere ,s a cooslfuchon
1end1ng agency tor tne perlormance ot lhe won. tor which ttus permit 1s issued (Sec 3097 Cn,11 Code)
Lenders Nome Crocker Bank
Lenders Address l tbntgoITery
San Francisco, CA 94104
USE BALL POINT PEN ONLY & PRESS HARD -At't'LI\..Al'"fl 1v r1LL.. 11-. ""' v •• .. ·-··-· . -CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1200 Elm, Carlsbad, California 92008-1989 (619) 438{;525 ..
JOB ADDRESS AV. ST.I DATE OF APPLICATION' BUSINESS LICENSE II VALUATION PERMIT NUMBER
RD. ~:, ?-Cf{p 1853 PALISADES ORIVE 6/9/83 19503 1,/. OWNER'S NAME I 714 > ~~:;~~~( CONTRACTOR CONTRACTORS PHONE • ZONE
M:>la Develcprent Co:rp. Sane 714)536-2547 13-2Y.Cf-f!l
OWNER'S MAILING AODRESS CONTRACTOR'S ADOAESS LICENSE NO. PLAN I.D. # BLOG use CODE
808 Adams Ave., Huntington Beadl, CA Sane 335-113
~oh I BLOCK I SUBDIVISION I ASSESSO~BfE~~~ .1,(.:, 0 0 DESIGNER C9:[;{)e " STANDARD PLAN # BUILDING SQ. FOOTAGE
7f..-l i; '!be Arcttltects Group !Ge> I DESCRIPTION OF WORK Single Family Residence DESIGNER'S ADDRESS DESIGNER'S PHONE -.J/CC/tl
714 Adams. Hwt. Beach 714)960-2476 ----------· ___ .. ---.•·· -.. ---. ---------F/P FLA ELEV. NO OCCGP EDU
~ -STORIES R-3 I vO NO ;;i__
CENSUS TRACT I GP LAND USE I PAA~lti1E RES uJN1TS I GRADING f'.EAMIT ISSUED I REDEVELOPMENT 6o/j~ OCC LOAD FIAESPR AREA
y'Jzf N D v □ Nty YO Nbif Not Valid Unlffs Abchine C#rtifi«f
QTY. PLUMBING PERMIT · ISSUE ~ QTY. MEC HANICAL PERMIT· ISSUE ~-SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP , ·~o.-INSTALL FURN. DUCTS UP TO 100,000 BTU <.J..-BUILDING PERMIT 01-00·00·8220 ':.1,c-.tS-
EACH BUILDING SEWER I~ -~I) OVER 100,000 BTU SIGN PERMIT 01-00·00·8221
EACH WATER HEATER ANO/OR VENT 5-.'50 BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00-00·8806 ~ 3•f /i,5"
EAC H GAS SYSTEM 1 TO 4 OUTLETS -:i s n BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01 ·00·00·8222 u a-
EACH GAS SYSTEM 5 OR MORE --~--ELECTRICAL 01-00·00·8223 '"<.'l) -METAL FIREPLACE
EACH INSTAL, ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-00·00·8224 I n -
EACH VACUUM BREAKER ME CH EXHAUST -HODO/DUCTS MOBILEHOME 01 ·00·00-8225 --
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) ~--SOLAR 01 ·00-nrl-R??F:
TOT.t.L MECHANICAL STRONG MOTION 80-92-33·0519 $-'1,; ~ , -I t.µ{.-f (').-TOTAL PLUMBING FIRE SPRINKLERS 01-00-00-8227
p \ PUBLIC FACILITIES FEE 32·00-00·8923 QTY. ELECTRICAL PERMIT -ISSUE QTY. SOLAR · ISSUE I BRIDGE FEE
NEW CONST EA AMP/SWT BKR 100 Q.<:...,-COLLECTORS .o\ I. SCHOOL FEE -DISTRICT
I PH 3 PH STORAGE TANKS r-J -u_ \L._J. Garlsbad 80-92·21·0519
EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE f\ ~ ~ I V I
' Encinitas 80-92-22·0519
I PH 3 PH PUMP \\\Y \....~ 01 San Dieguito 80-92-23·0519
REMODEL/ALTER PER CIRCUIT PLAN CHECK FEE \) -t' r\,J San Marcos 80·92-24·0519
TEMP POLE 200 AMPS 0
OVER 200 AMPS 2-f.Lr I >SL/.. ---TEMP OCCUPANCY (30 DAYS) • fYl FF ' l-1",-··-r-~o ~ TOTAL ELECTRICAL TOTAL SOLAR TOTAL FEES PAYABLE ~ ?:>1 ?>o. (/Z ~
I HAVE CAREFULLY EXAMINED THE COMPLETED •·ApPUCATION ANO PERMIT"" ANO DO HEREBY Expo ration. Every perm II iuued by Ille Bulleting Off1C1al under the provraion1 ol thlS * AN OSHA-~~ -L_ ·---FOR EXCAVATIONS OVEfl
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expiNI by lrmrtation and become null and VOid If the butldrng or work !I' O" DEEP ~.ITION OR CONS"'YCTION OF
DECLARATIONS ARE TRUE AND CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized by such pe,m11 1s~menced w1th111 1110 day1 from the date of such s---....,.-:R 3 STORIES IN HEIGHT ~mrl, or •f the Du•ldt~ or aull'loriad by auch pe,m11 11 -pended or ISSUED: TO COMPLY WITH ALL CITY, COUNTY ANO STATE LAWS GOVERNING BUILDING CON ,twuld<lned at anv time er the """" II commenced for • oenod of t 80 "-"v• . ./ ._ I
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND . :1' -. :Mk CONTRACTOR 0 APPROVED BYY)
~ff_ KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND Iii r~' Ur . Ou ('{f \ ~::;,-R EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE O V '11 \. BY PHONE 0 -
GRANTING OF THIS PERMIT '-'-. _ --..~ -
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\ -. , . .. . ► DATE INSPECTOR t . .. ,·: '-1 •' % 3 --~q-~ lf ,· .. ' INSPECTION TYPE I . . --' BUILDING I /.) , -//\ FIELD INSPECTION RECORD "· FOUNDATION '! V -REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES -. --
REINFORCED STEEL ··-.
INSPECTOR'S
_..,.
" INSPECTION REQ IF DATE MASONRY ' CHECKED APPROVAL _,---
' '; l GUNITE OR GROUT SOILS COMPLIANCE r i;.-. -.,. .... . ..
FLOOR & CEILING SUB FRAME PRIOR TO . -· ... ~ -
FOUNDATION INSP -L t~
SHEATHING STRUCTURAL CONCRETE
FRAME fl OVER 2000 PSI
PRESTRESSED
EXTERIOR LATH lNSULATION -• I CONCRETE
INTERIOR LATH & DRYWALL 1-7~<'4; ~ POST TENSIONED
CONCRETE
PLUMBING I
FIELD WELDING > --
SEWER AND BL/CO HIGH STRENGTH '
PLUMBING UNDERGROUND "7") BOLTS .. .... -" I .
f../ SPECIAL MASONRY i ' . -. ' PLUMBING TOP OUT -' .
TUB AND !?HOWER PAN
-:, .... ~
GAS TEST PILES CAISSONS ' -,,
ELECTRICAL I . . 'J -' .-I .,. .
TEMPORARY POWER -" ('. ..\~ -'I
ELECTRIC UNDERGROUND ' ~ .. ',. -'
ROUGH ELECTRIC h ..
t'/ ,, ,.--. ' . ... ~-.. ELECTRIC SERVICE I• .... --.... 1, ~ -.
BONDING '"> .. . -G. F. I. -SMOKE DETECTOR . . .
,-·' • . MECHANICAL Ii\ -. . ,· . ' I II ~ DUCT & PLEM .• REF. PIPING -
HEAT -AIR COND. -SOLAR SYSTEMS I I'-\ . -. ·----
VENTILATING SYSTEMS V ,,
.
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE . \
ITEMS ABOVE HAVE BEEN APPROVED. •C • ,, -.. .
JOB SITE FINAL . ,
/ /
PLUMBIN'G { / -
ELECTRICAL I } /7 i) . , ,.
MECHANICAL t\/1 / I/ VJ, If
GAS . j\ \ I ~ rr. fl --BUILDING , . ' '\f ' I ' : I -
' I -.. SPECIAL CONDITIONS -t-··1 , •. '' t:o,, CERT OF OCCUPANCY ISSUED \) a r . -," ~ ]r r . ,.,..,., L ,